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Poly(ADP-Ribose) Polymerase-1 Inhibitors Drug Discovery, Design, and Development as Anticancer Agents from Past to
Arwa AlGhamdi1, Hanine AlMubayedh1
1College of Pharmacy, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
Abstract:
Cancer treatments are known for their life-threatening toxicities attributed to their low selectivity; hence, new therapeutic approaches are being developed as alternatives. Among those approaches is the DNA repair mechanism, where its inhibition results selectively in the death of cancerous cells. Poly(ADP-Ribose) Polymerase (PARP) is one of the enzymes involved in the repair of damaged DNA. The inhibition of PARP shows to be a promising approach for effective targeted treatment of cancer, especially in tumours with pre-existing Homologous-Repair (HR) defects (i.e., BRCA). Nicotinamide, which is one of the PARP catalytic products, was the first identified PARP inhibitor (PARPi). The first FDA-approved PARPi was Olaparib in 2014 for the treatment of BRCA mutated advanced ovarian cancer. Several clinical trials have been conducted to further improve PARPi. However, there are some concerns related to drug resistance, PARPi sensitive-tumour identification, and toxic accumulation of PARPi. This report will review the uses of PARPi, drug design and development of PARPi from past to present, current issues, and prospective plans.
Insights
Poly(ADP-Ribose) Polymerase (PARP) inhibitors offer targeted cancer therapy, particularly for BRCA-mutated tumors. Research is ongoing to address challenges like drug resistance and toxicity for improved efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cancer treatments often cause severe toxicities due to low selectivity.
- Targeting DNA repair mechanisms, such as Poly(ADP-Ribose) Polymerase (PARP) inhibition, offers a selective approach to cancer cell death.
- PARP inhibitors (PARPi) are particularly effective in tumors with pre-existing Homologous-Repair (HR) defects, like BRCA mutations.
Purpose of the Study:
- To review the therapeutic applications of PARP inhibitors (PARPi) in cancer treatment.
- To discuss the evolution of PARPi drug design and development.
- To examine current challenges and future directions in PARPi therapy.
Main Methods:
- Literature review of PARP inhibitors in cancer treatment.
- Analysis of historical and current PARPi drug development.
- Examination of clinical trial data and research findings.
Main Results:
- Poly(ADP-Ribose) Polymerase (PARP) inhibition is a promising strategy for targeted cancer therapy.
- The first PARPi, Olaparib, was approved in 2014 for BRCA-mutated ovarian cancer.
- Ongoing research aims to overcome issues such as drug resistance and toxic accumulation.
Conclusions:
- PARP inhibitors represent a significant advancement in targeted cancer therapy.
- Further research is crucial to optimize PARPi efficacy and patient selection.
- Addressing challenges like resistance and toxicity will enhance the clinical utility of PARPi.
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